Covington Turner Society 447 Pike Street
Membership Committee Covington, KY 41011
Brad & Krista Bentley Venmo: @Covingtonturners
4900 Far Hills Dr. Email: turnerscovington@gmail.com
Independence, KY 41051

MEMBERSHIP FORM

Complete ALL fields legibly so that we may ensure accurate and current information is on file.
Voting Member Name
Spouse Name
Street Address
City, ST Zip
Phone Number
Email Address
Check the box that applies and send a check for the Total Enclosed amount below.
Regular Turner Society Membership $160.00 (New)
$135.00 (Renew)
I am a 40+ year member Free
I am Active Military Free
I am a college student enrolled over 100 miles away $ 35.00
I am a Member at Large living over 100 miles away $ 65.00
I am including Split the Pot for a year beginning with January 2024 $ 60.00 ($5/month)
(Split the Pot is $5 per month-winner drawn each month on the 3 rd Monday) Total Enclosed
When submitting your application, the fee of $160.00 must be attached or Venmo. This includes a
$25.00 application fee. Your annual dues are $135.00. Dues are due annually on December 1st
and are considered delinquent December 31st, at which time, a $25.00 late fee will be assessed.
Your application will be read and voted on at the next board meeting. You will then be contacted
to come and be sworn in at the following board meeting. You will receive your key card(s) at that
time. You must be sponsored by two current members.

(NOT NEEDED IF YOU ARE RENEWING)

NAME OF BOTH SPONSORS:

SIGNATURES OF BOTH APPLICANTS:

DATE OF SUBMISSION: